RT Journal Article T1 GnRH replacement rescues cognition in Down syndrome. A1 Manfredi-Lozano, Maria A1 Leysen, Valerie A1 Adamo, Michela A1 Paiva, Isabel A1 Rovera, Renaud A1 Pignat, Jean-Michel A1 Timzoura, Fatima Ezzahra A1 Candlish, Michael A1 Eddarkaoui, Sabiha A1 Malone, Samuel A A1 Silva, Mauro S B A1 Trova, Sara A1 Imbernon, Monica A1 Decoster, Laurine A1 Cotellessa, Ludovica A1 Tena-Sempere, Manuel A1 Claret, Marc A1 Paoloni-Giacobino, Ariane A1 Plassard, Damien A1 Paccou, Emmanuelle A1 Vionnet, Nathalie A1 Acierno, James A1 Maceski, Aleksandra Maleska A1 Lutti, Antoine A1 Pfrieger, Frank A1 Rasika, S A1 Santoni, Federico A1 Boehm, Ulrich A1 Ciofi, Philippe A1 Buée, Luc A1 Haddjeri, Nasser A1 Boutillier, Anne-Laurence A1 Kuhle, Jens A1 Messina, Andrea A1 Draganski, Bogdan A1 Giacobini, Paolo A1 Pitteloud, Nelly A1 Prevot, Vincent AB At the present time, no viable treatment exists for cognitive and olfactory deficits in Down syndrome (DS). We show in a DS model (Ts65Dn mice) that these progressive nonreproductive neurological symptoms closely parallel a postpubertal decrease in hypothalamic as well as extrahypothalamic expression of a master molecule that controls reproduction-gonadotropin-releasing hormone (GnRH)-and appear related to an imbalance in a microRNA-gene network known to regulate GnRH neuron maturation together with altered hippocampal synaptic transmission. Epigenetic, cellular, chemogenetic, and pharmacological interventions that restore physiological GnRH levels abolish olfactory and cognitive defects in Ts65Dn mice, whereas pulsatile GnRH therapy improves cognition and brain connectivity in adult DS patients. GnRH thus plays a crucial role in olfaction and cognition, and pulsatile GnRH therapy holds promise to improve cognitive deficits in DS. YR 2022 FD 2022-09-02 LK http://hdl.handle.net/10668/20028 UL http://hdl.handle.net/10668/20028 LA en DS RISalud RD Apr 9, 2025